CPT code 15275: Skin substitute, face and other specified sites2026 Medicare rate & RVUs in South Dakota

Reports skin substitute application to wounds on the face, scalp, hands, feet, genitalia, or other specified sites within the smaller-area tier.

CMS RVU26DEffective Oct 1, 2026One payment locality198.1K Medicare services in 2024

In South Dakota, Medicare pays $155.89 for 15275 in the office and $79.73 when it’s performed in a hospital or facility.

$155.89Office (non-facility)
$79.73Hospital or facility
−2.8%vs the national office rate ($160.32)

Check a contract rate as a % of Medicare · 15275 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 15275 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 15275 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 15275 covers

This code covers applying a skin substitute graft to wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, or feet. Dermatologists, plastic surgeons, and wound care clinicians may use it for wounds such as chronic ulcers or defects after trauma or excision. The code represents the application service, not the skin substitute product itself.

Select this base code when the combined wound surface area at the specified sites is up to 100 square centimeters and the initial area is 25 square centimeters or less. For a larger qualifying area, use the applicable higher-area code; document wound locations, measurements, total area, and the material applied. The 0-day global includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 15275

Across 109 of 109 payment localities, the office rate for 15275 runs from $143.80 in Arkansas to $205.40 in San Benito County, CA. South Dakota pays $155.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

15275 in South Dakota vs other payment areas
  1. South Dakota · this page$155.89
  2. Los Angeles, CA · California$177.75+$21.86
  3. Washington, DC area · District of Columbia$181.06+$25.17
  4. Miami, FL · Florida$174.40+$18.51
  5. Chicago, IL · Illinois$169.86+$13.97
  6. Manhattan, NY · New York$183.30+$27.41
  7. Alaska · Alaska$193.17+$37.28

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

15275 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$145.65$79.02
ArkansasArkansas$143.80$78.39
ArizonaArizona$156.44$82.65
Bakersfield, CACalifornia$167.88$84.42
Chico, CACalifornia$167.28$83.81
El Centro, CACalifornia$167.31$83.85
Fresno, CACalifornia$167.28$83.81
Hanford, CACalifornia$167.28$83.81

15275 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$143.80

$193.17

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
15275 office rate range by state
State / territoryOffice rate rangeLocalities
AK$193.171
AL$145.651
AR$143.801
AZ$156.441
CA$167.28–$205.4029
CO$165.601
CT$170.171
DC$181.061
DE$158.821
FL$159.54–$174.403
GA$151.43–$163.352
GU$170.421
HI$170.421
IA$148.291
ID$149.271
IL$155.89–$169.864
IN$150.011
KS$147.971
KY$149.301
LA$149.21–$155.682
MA$164.91–$180.302
MD$161.50–$181.063
ME$150.26–$157.012
MI$152.99–$161.612
MN$158.351
MO$147.15–$155.823
MS$145.491
MT$160.311
NC$151.601
ND$156.361
NE$148.921
NH$163.351
NJ$172.02–$179.592
NM$153.851
NV$159.301
NY$153.63–$187.665
OH$152.181
OK$148.761
OR$157.96–$170.022
PA$152.23–$166.552
PR$161.261
RI$163.841
SC$152.161
SD$155.891
TN$148.661
TX$151.37–$165.148
UT$153.991
VA$156.76–$181.062
VI$161.261
VT$156.081
WA$164.49–$183.462
WI$151.751
WV$150.861
WY$158.591

See 15275 in every payment locality

How the 15275 rate is calculated

Each of 15275’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 15275

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.78

1.78 RVUs× 1.000 GPCI

Practice expense2.82

2.82 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

4.8000

Conversion factor

$33.4009

Medicare rate

$160.32

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,516

Code
15275
Physician work
1.78
Practice expense
2.82
Malpractice
0.20

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 15275 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.78× 1.0001.7800
Practice expense2.82× 1.0002.8200
Malpractice0.20× 0.3360.0672
Total RVUs4.6672
Conversion factor× 33.4009

Office rate, South Dakota$155.89

Office: (1.78 × 1 + 2.82 × 1 + 0.2 × 0.336) × $33.4009 = $155.89

Facility: (1.78 × 1 + 0.54 × 1 + 0.2 × 0.336) × $33.4009 = $79.73

Open 15275 in the RVU calculator

Payment rules and modifiers for 15275

The CMS indicators that decide how 15275 is paid alongside other services.

CMS payment indicators · 15275

Skin substitute, face and other specified sites

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

15275 without 51 · national office

$160.32

Skin substitute, face and other specified sites

15275-51 · Second procedure: 50%

$80.16

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 15275 has changed in South Dakota

15275 · Office / nonfacility

$155.89

Effective 2026-10-01

The base rate is $5.52 higher than on 2025-10-01, moving from $150.37 to $155.89 (3.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $150.37changed to$155.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.83 changed to 1.78
    • Practice expense RVU 2.75 changed to 2.82
    • Malpractice RVU 0.18 changed to 0.20
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $154.87changed to$150.37

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $152.35changed to$154.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $156.53changed to$152.35

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.72 changed to 2.75
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $159.86changed to$156.53

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.20 changed to 0.19
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $159.67changed to$159.86

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.68 changed to 2.72
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $157.35changed to$159.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.46 changed to 2.68
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $153.53changed to$157.35

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.36 changed to 2.46
    • Malpractice RVU 0.18 changed to 0.19
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $149.40changed to$153.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.25 changed to 2.36

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $147.90changed to$149.40

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.22 changed to 2.25
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $147.59changed to$147.90

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $148.26changed to$147.59

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $147.52changed to$148.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $148.48changed to$147.52

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.19 changed to 2.22
    • Malpractice RVU 0.30 changed to 0.19
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $148.81changed to$148.48

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.41 changed to 2.19
    • Malpractice RVU 0.31 changed to 0.30
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $148.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$155.89$79.73RVU26D
2026-07-01$155.89$79.73RVU26C
2026-04-01$155.89$79.73RVU26B
2026-01-01$155.89$79.73RVU26A
2025-10-01$150.37$86.97RVU25D
2025-07-01$150.37$86.97RVU25C
2025-04-01$150.37$86.97RVU25B
2025-01-01$150.37$86.97RVU25A
2024-10-01$154.87$88.30RVU24D
2024-07-01$154.87$88.30RVU24C
2024-04-01$154.87$88.30RVU24B
2024-03-09$154.87$88.30RVU24AR
2024-01-01$152.35$86.86RVU24A
2023-10-01$156.53$89.09RVU23D
2023-07-01$156.53$89.09RVU23C
2023-04-01$156.53$89.09RVU23B
2023-01-01$156.53$89.09RVU23A
2022-10-01$159.86$90.30RVU22D
2022-07-01$159.86$90.30RVU22C
2022-04-01$159.86$90.30RVU22B
2022-01-01$159.86$90.30RVU22A
2021-10-01$159.67$91.28RVU21D
2021-07-01$159.67$91.28RVU21C
2021-04-01$159.67$91.28RVU21B
2021-01-01$159.67$91.28RVU21A
2020-10-01$157.35$94.91RVU20D
2020-07-01$157.35$94.91RVU20C
2020-04-01$157.35$94.91RVU20B
2020-01-01$157.35$94.91RVU20A
2019-10-01$153.53$94.78RVU19D
2019-07-01$153.53$94.78RVU19C
2019-04-01$153.53$94.78RVU19B
2019-01-01$153.53$94.78RVU19A
2018-10-01$149.40$95.04RVU18D
2018-07-01$149.40$95.04RVU18C
2018-04-01$149.40$95.04RVU18B
2018-01-01$149.40$95.04RVU18AR1
2017-10-01$147.90$95.14RVU17D
2017-07-01$147.90$95.14RVU17C
2017-04-01$147.90$95.14RVU17B
2017-01-01$147.90$95.14RVU17A
2016-10-01$147.59$94.59RVU16D
2016-07-01$147.59$94.59RVU16C
2016-04-01$147.59$94.59RVU16B
2016-01-01$147.59$94.59RVU16A
2015-10-01$148.26$95.44RVU15D
2015-07-01$148.26$95.44RVU15C
2015-04-01$147.52$94.96RVU15B
2015-01-01$147.52$94.96RVU15A
2014-10-01$148.48$96.54RVU14D
2014-07-01$148.48$96.54RVU14C
2014-04-01$148.48$96.54RVU14B
2014-01-01$148.48$96.54RVU14A
2013-10-01$148.81$98.80RVU13D
2013-07-01$148.81$98.80RVU13C
2013-04-01$148.81$98.80RVU13B
2013-01-01$148.81$98.80RVU13AR

Price 15275 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

15275 billing questions

When should 15275 be selected instead of 15277?

Use 15275 for the initial area when total wound surface area at the specified sites is up to 100 square centimeters. When the total reaches 100 square centimeters or more, use 15277 for the initial area.

How is additional wound area reported with 15275?

Code 15276 reports each additional 25 square centimeters or part thereof when the total wound area is in the 15275 size tier. For the higher-area tier, 15277 and 15278 provide the initial and additional-area reporting.

Does 15275 include the skin substitute product?

15275 reports the application service, not the product itself. The product may have separate HCPCS coding.

Can modifier 50 be used when wounds are on both hands or feet?

No. Modifier 50 is inappropriate for this code; report the applicable service based on the qualifying sites and wound area.

Can an assistant surgeon or co-surgeon be reported for 15275?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What documentation supports reporting 15275?

Document the specific wound sites, measured wound areas and their total, and the skin substitute application performed. These details support selection of the correct area tier and any additional-area code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 15275PPRRVU2026_Oct_nonQPP.csv, line 1,516 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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